Individual ProviderFaizan RasoolInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W. Harrison St, Chicago, IL 60612(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Faizan Rasool is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457081531Provider TypeIndividualFull NameRasool, FaizanCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/13/2022Last Updated5/19/2025Contact InformationPractice LocationPractice Address1901 W. Harrison St, Chicago, IL 60612Phone(312) 864-6000Fax(312) 864-6000Mailing LocationMailing Address1950 West Polk Street, 6th Floor, #142, Chicago, IL 60612Phone(312) 864-6000Fax(312) 864-6000Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125079539IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer